Reaves, David Lee

Reaves, David Lee is an sole proprietor health care provider with primary practice located at 322 Milledgeville Hwy , Gordon GA 31031-4177. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Reaves, David Lee can be contacted via phone (478) 628-4007.

Contact Information

Primary practice address
322 Milledgeville Hwy Gordon GA 31031-4177
Fax: (478) 628-4007
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1922426360
LBN Legal business name Reaves, David Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2014
Last updated Apr 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922426360 NPPES
Georgia Other 332B00000X N/A

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